The Spina Bifida Coalition serves Adams, Ashland, Ashtabula, Athens, Belmont, Brown, Butler, Carroll, Clermont, Clinton, Columbiana, Cuyahoga, Erie, Gallia, Geauga, Hamilton, Harrison, Highland, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Lorain, Mahoning, Medina, Meigs, Monroe, Noble, Pike, Portage, Richland, Scioto, Stark, Summit, Trumbull, Tuscarawas, Warren, Wayne, and Washington counties in Ohio, Dearborn, Franklin, Jefferson, Ohio, Ripley, and Switzerland counties in southeastern Indiana, Boone, Campbell, and Kenton counties in northern Kentucky, and the entire state of West Virginia.
